MEDICARE: NEW LEAF COUNSELING GROUP PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1740113703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW LEAF COUNSELING GROUP PLLC

Provider Business Mailing Address
First Line	:	372 KELBURN RD APT 113
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-4357
Country	:	US
Telephone Number	:	773-895-3771
Fax Number	:

Provider Business Practice Location Address
First Line	:	372 KELBURN RD APT 113
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-4357
Country	:	US
Telephone Number	:	773-895-3771
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA GUON
Credential	:
Telephone Number	:	832-252-9286

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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